Elms Residential Care

Licensing Program Analyst (LPA) Kelly Dulek conducted an unannounced subsequent complaint visit with the purpose of delivering findings for the above allegations. Upon arrival, the LPA met with Facility Designee Lesley Jamon and explained the reason for the visit. Entrance interview conducted. During an initial complaint inspection on 08/14/2025, between 09:00AM and 02:00PM, LPA Esther Cortez toured the facility, interviewed the Administrator, one (1) staff, three (3) residents, one (1) witness, conducted a file review, and obtained copies of resident records and other pertinent documents. LPA Dulek conducted a subsequent visit on 09/18/2025; LPA interviewed facility designees and Administrator at 11:14AM, toured the facility at 12:11PM and interviewed two (2) staff and seven (7) residents from 12:23PM to 02:15PM. LPA also obtained copies of pertinent documents. Additionally, LPA conducted interviews with staff and obtained additional relevant documents during an unrelated visit on 08/Read the full finding— CDSS inspection report, October 10, 2025 · control 29-AS-20250813233409

Licensing Program Analyst (LPA), Esther Cortez conducted an unannounced 24 hour complaint visit for the above allegation. Upon arrival, LPA met with Administrator, Veronica Pereyra and was explained the reason for the visit. Entrance interview conducted. During today's inspection, between 09:00 a.m. and 2:00 p.m., the LPA toured the facility, interviewed the Administrator, one (1) staff, three (3) residents, one (1) witness, conducted a file review, and obtained copies of resident records and other pertinent documents relevant to the investigation. Report will continue on LIC9099-C, 2nd page. SubstantiatedRead the full finding— CDSS inspection report, August 14, 2025 · control 29-AS-20250813233409

Licensing Program Analyst (LPA) Teresa Camara conducted a subsequent complaint investigation visit regarding the above noted allegations. LPA initially met with facility staff Neil Cotton and later met with the acting administrator Julie Anos. LPA explained the reason for the visit. LPA started interviews at 1:30 p.m. LPA interviewed five staff and five residents. LPA reviewed P&I monies at 3:40 p.m. Regarding the allegation staff do not provide an adequate amount of food to residents: Staff stated residents are served three meals and three snacks a day. Residents can request second servings if they are still hungry after their initial serving. They also have a refrigerator where residents can store their own food. Residents confirmed they get three meals and three snacks per day. They can ask for seconds if they are still hungry. They can also request other options if they don't like what is being served. Based on these interviews this allegation is deemed UNSUBSTANTIATED at this timeRead the full finding— CDSS inspection report, April 4, 2025 · control 29-AS-20240809141502

Licensing Program Analyst (LPA) Zabel Chochian conducted a subsequent complaint visit to deliver investigation finding. Upon arrival LPA met with Irina Zendeja. The reason for the visit was explained. On 12/21/2023, Community Care Licensing Division received a complaint alleging illegal drug use at the facility. It was reported that there is illegal drug use occurring at this facility and that “marijuana and worse drugs than pot are being used at this board and care”. The complaint was referred to the Community Care Licensing (CCL) Investigations Branch (IB) and assigned to Investigator Johnny Canto. On 12/22/2023, LPA Chochian conducted initial complaint visit to this facility for the above complaint allegation. LPA met with staff Marysol Magallanas and later with Administrator Fe Higgins. During the initial visit, at approximately 11am, LPA toured the facility with staff. At approximately 12pm, LPA reviewed records and obtained copies of available records. During the resident room toRead the full finding— CDSS inspection report, July 30, 2024 · control 29-AS-20231221134959

Licensing Program Analyst (LPA) Zabel Chochian conducted a subsequent complaint visit to deliver investigation finding. Upon arrival LPA met with Irina Zendeja. The reason for the visit was explained. Regarding allegation “Staff did not keep the facility free of bedbugs” and “Staff did not keep the facility clean and sanitary”. On 1/22/2024, at approximately 3:25pm, LPA and the administrator conducted a tour of the facility and checked facility common areas and random resident rooms. The LPA also conducted random resident interviews during the resident room tours from approximately 3:30p.m. to 5:30 p.m. The LPA conducted an inspection of eight (8) resident rooms and spoke with residents in each room. The interview with residents revealed the following: eight (8) out of eight (8) residents expressed that they have experienced bedbugs in their room in the past and continue to have issues with bed bugs. Residents confirmed that an exterminator comes around every month or so to spray; howeRead the full finding— CDSS inspection report, July 30, 2024 · control 29-AS-20240119073807

Licensing Program Analyst (LPA) Zabel Chochian conducted a subsequent complaint visit to deliver investigation finding. Upon arrival LPA met with Irina Zendeja. The reason for the visit was explained. On 01/19/2024, Community Care Licensing Division received an allegation that “Facility staff did not seek medical attention for resident”. Per the Reporting Party (RP) it was discovered on 12/27/2023, that Resident #1 (R1) had injured R1s right foot. R1 was taken to the Emergency Room (ER), where it was discovered that R1 had broken R1’s leg in multiple places. The injury was noted to be old given the bruising. On 01/22/2024, this case was referred to the Investigations Branch and assigned to Investigator Veronica Padilla. On 01/22/2024, LPA Chochian conducted the initial complaint visit. LPA met with staff Marysol Magallanas and later with Administrator Fe Higgins. During the initial visit, at approximately 3:45pm, LPA toured the facility with staff. At approximately 5:30pm, LPA reviewedRead the full finding— CDSS inspection report, July 30, 2024 · control 29-AS-20240119160628

Licensing Program Analyst (LPA) Zabel Chochian conducted a subsequent complaint visit to deliver investigation finding. Upon arrival LPA met with Irina Zendeja. The reason for the visit was explained. On 03/14/2024, Community Care Licensing Division received an allegation of “Staff did not provide adequate care and supervision of the residents”. It was reported that someone summonsed emergency personnel due to a resident observed unable to be woken and yellowish in color. Upon arrival of emergency personnel, the alleged resident was found sleeping deeply and was easily woken. It was reported that on this incident day no staff/employees could be found inside the facility; no historian of the alleged resident was available, and no one could be identified as the 911 caller. It was stated that the population of this facility is vulnerable at best and it appears many if not all of the residents have cognitive impairments of some kind and should not be left alone. On 03/20/2024, LPA ChochianRead the full finding— CDSS inspection report, July 30, 2024 · control 29-AS-20240314113625

Licensing Program Analyst (LPA) Kelly Dulek conducted a complaint visit to this facility for the above listed allegations. LPA met with facility staff Irina Zendejas and Licensee/Administrator Fe Higgins. Entrance interview conducted. LPA interviewed both Licensee/Administrator and facility staff at 11:15AM, toured the facility with Licensee at 11:55AM. LPA observed lunch being served and residents eating in the dining room during facility tour. LPA interviewed facility residents and staff from 12:15PM to 02:20PM. The following was then determined: Allegation: "Facility does not have hot water:" Interview revealed that on 06/21/2024, residents informed the facility staff that there was no hot water available in their restrooms. Facility staff then tested the water and confirmed the water was tepid and not heating properly. Maintenance staff responded promptly and discovered that the water heater/broiler was Report Continued on LIC 9099-C UnsubstantiatedRead the full finding— CDSS inspection report, July 1, 2024 · control 29-AS-20240624084221

Licensing Program Analyst (LPA) Zabel Chochian conducted a complaint visit to this facility for the above complaint allegation. LPA met with staff Irina Zendejas and reason for visit was discussed. Owner/Administrator Fe Higgins was unavailable to met with LPA during todays visit. LPA toured the facility with Maintenance staff Ariel Vargs. Mr. Vargas confirmed that the facility electrical panel was malfunctioning last week and he has since taken care of the issue which was causing the alarm panel to sound. According to Mr. Vargs the fire department suggested that the fire panel spare battery be replaced since it is malfunctioning. Mr. Vargas replaced the spare battery and the panel is operating properly now. Based on interviews and observation, allegation "Facility electrical panel is malfunctiong" is deemed substantiated at this time. Following deficiency was observed (See LIC 9099-D.) and cited from the CA Code of Regulations, Title 22. Exit interview conducted. Copy of report and apRead the full finding— CDSS inspection report, March 20, 2024 · control 29-AS-20240314113625

Licensing Program Analyst (LPA), Sandra Urena conducted an unannounced initial 10-day visit to investigate the allegation described above. The LPA met with Administrator Fe Higgins at 1:30 p.m. and explained the reason for the visit. At 1:45 the LPA and the administrator conducted a tour of the facility. The LPA conducted residents’ interviews from 1:50 p.m. to 2:54 p.m. At 3:15 p.m. the LPA requested records pertaining to the investigation. At 3:30 p.m. the LPA interviewed the administrator. Continues on LIC 9099C... Unsubstantiated— CDSS inspection report, October 2, 2023 · control 29-AS-20230925123938

Licensing Program Analyst (LPA) Esther Cortez conducted a 10-Day initial complaint visit to the facility at 10:50 a.m. The LPA was greeted by Administrator Fe Higgins and the reason for the visit was explained. The LPA toured the physical plant with administrator Fe, and obtained pertinent documents at 11:35 a.m., and interviewed five (5) randomly chosen residents between 11:40 a.m. and 12:20 p.m. and interviewed the administrator throughout the visit. Report will Continue on LIC9099-C Substantiated— CDSS inspection report, September 13, 2023 · control 29-AS-20230913095109

Licensing Program Analyst (LPA) Esther Cortez conducted a 10-Day initial complaint visit to the facility at 10:50 a.m. The LPA was greeted by Administrator Fe Higgins and the reason for the visit was explained. The LPA toured the physical plant with administrator Fe, and obtained pertinent documents at 11:35 a.m., and interviewed five (5) randomly chosen residents between 11:40 a.m. and 12:20 p.m. and interviewed the administrator throughout the visit. Report will Continue on LIC9099-C Substantiated— CDSS inspection report, September 13, 2023 · control 29-AS-20230907164110

Licensing Program Analyst (LPA) Esther Cortez conducted a 10-Day initial complaint visit to the facility at 7:45a.m. The administrator and four (4) staff were present when the LPA arrived. The LPA was greeted by Administrator Fe Higgins and the reason for the visit was explained. The LPA toured the physical plant with administrator Fe, and obtained pertinent documents between 8:10 a.m. and 8:25 a.m., interviewed five (5) randomly chosen residents, four (4) staff between 08:30 a.m. and 09:30 a.m., had one phone interview at 10:04 a.m., and interviewed the administrator throughout the visit. Regarding the allegation Insufficient staffing to meet residents care needs: All of the residents interviewed stated there is sufficient staffing to meet their needs. They also indicated that they are independent and don’t need assistance from staff. In addition, resident interviews indicated that even if staff call in sick, there is always staff and/or the administrator at the facility to assist theRead the full finding— CDSS inspection report, July 20, 2023 · control 29-AS-20230712152744

Licensing Program Analyst (LPA) Esther Cortez conducted an unannounced initial 10-Day complaint visit to the facility at 01:00 p.m. The LPA met with Designee Percy Tabing and discussed the reason for the visit. Administrator Fe Higgings arrived shortly after and was informed of the reason for the visit. During today's visit the LPA toured the facility with designee Percy between 1:25 p.m. and 2:30 p.m. and requested copies of pertinent documents. During the tour the LPA interviewed ten (10) random residents and two (2) random staff. Report will continue on LIC9099-C Unsubstantiated— CDSS inspection report, June 23, 2023 · control 29-AS-20230621094948

Licensing Program Analyst (LPA) Teresa Camara conducted an initial complaint visit regarding the above noted allegations. LPA met with licensee/administrator Fe Higgins and explained the reason for the visit. LPA interviewed ten (10) randomly chosen residents between 10:55 a.m. and 12:20 p.m. LPA interviewed administrator at 10:40 a.m. LPA interviewed three (3) staff between 11:35 a.m. and 12:46 p.m. Regarding the allegation facility is not sufficiently staffed to meet the needs of residents in care: All of the residents stated their needs are always met by facility staff and the administrator. They indicated sometimes staff do not show up to work and the administrator takes on those duties. However, even if staff call in sick, they still have all their needs met. Staff at the facility ensure they are fed, given their medications and assist them with their medical appointments. All of the staff who were interviewed stated they feel there (continued on 9099-C; page 2) UnsubstantiatedRead the full finding— CDSS inspection report, June 1, 2023 · control 29-AS-20230523161635

Licensing Program Analyst (LPA) Esther Cortez conducted a subsequent complaint visit to the facility at 7:30 a.m. LPA was greeted by Night Supervisor Reynaldo Tabing and the reason for the visit was explained. LPA also met with Interim Administrative Assistant, Karena Higgins, and Assistant Manager, Angie Perez during the visit. LPA contacted facility administrator Fe Higgins who was unable to be present during today’s visit. On 4/12/2023, LPA toured the facility with Staff Angie Perez between 7:53AM – 8:05AM, after the tour LPA observed breakfast service been provided to the residents in the dining room. A tour of the laundry room was also conducted at 10:30AM. Additionally, LPA conducted a file review and requested copies of pertinent documents at 12:20 p.m. Between 8:12 a.m. – 2:00 p.m. LPA interviewed sixteen (16) random residents and four (4) random staff. Moreover, LPA observed lunch service been provided to the resident at 12:00 p.m. Report will continue on LIC9099-C SubstantiatRead the full finding— CDSS inspection report, April 21, 2023 · control 29-AS-20230405151719

Licensing Program Analysts (LPAs) Kasandra Lopez and Esther Cortez arrived at the facility unannounced to conduct an initial complaint visit at 2:29p.m. When the LPAs arrived, they met with staff member Angelina Perez and explained the reason for the visit. Met with Administrator Fe Higgins shortly after and explained the reason for the visit as well. During todays inspection, the LPAs and Administrator toured the Kitchen and food storage area between 2:30 p.m. – 2:45 p.m., obtained documents at 2:46 p.m., and the LPAs interviewed (7) seven residents between 2:47 p.m., and 3:14p.m. Report will continue on LIC 9099-C SubstantiatedRead the full finding— CDSS inspection report, March 16, 2023 · control 29-AS-20230309082349

Licensing Program Analyst (LPA) Emily Peraldi arrived unannounced for an initial 10-day visit. At 9:51 a.m., the LPA met with staff and the Administrator Fe Higgins and explained the reason for the visit. At 10:09 a.m., the LPA conducted an interview with the Administrator. At 10:14 a.m., the LPA along with staff toured the facility. Between 10:21 a.m. and 11:32 a.m., the LPA interviewed three (3) staff and seven (7) residents. At 12:00 p.m., the LPA obtained pertinent documents. At 2:39 p.m., the LPA interviewed the resident’s social worker. At 3:57 p.m., the LPA attempted to interview Individual #1 (I1). Continued on LIC 9099-C. UnsubstantiatedRead the full finding— CDSS inspection report, January 6, 2023 · control 29-AS-20221230145649